PREVENTION OF COMPLICATIONS OF SURGICAL TREATMENT OF PATIENTS WITH OCCLUSION OF THE AORTOILIAC SEGMENT.

The study provided valuable data on the impact of preoperative preparation, including medical management of diabetes mellitus and COPD, on surgical outcomes in patients with aortoiliac occlusion. Based on the results, it can be concluded that careful preoperative assessment and preparation play a key role in reducing the risk of complications and improving clinical outcomes. In particular, preoperative correction of concomitant diseases significantly improves the condition of patients, as evidenced by higher functional test results, improved glycemic control, and decreased blood pressure. This, in turn, reduces the frequency and severity of intra- and postoperative complications, and reduces overall mortality. Analysis of predictors of complications showed that the duration of surgery and concomitant diabetes mellitus significantly increase the risk of postoperative complications. This emphasizes the need to develop and implement new surgical and anesthetic approaches aimed at optimizing the duration of operations and more careful monitoring of the condition of patients with diabetes. The results of the study also indicate the importance of a multidisciplinary approach to the treatment of this category of patients, including vascular surgeons, anesthesiologists, therapists, endocrinologists, pulmonologists and other specialists. This allows for comprehensive preoperative preparation, adequate intraoperative management and high-quality postoperative monitoring. Overall, the results of this study provide a basis for the development of new treatment strategies for patients with aortoiliac segment occlusion aimed at improving clinical outcomes and quality of life of patients. Further prospective studies are needed to confirm the effectiveness of the proposed approaches and their implementation in clinical practice.